Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure / Erin R. Foster in American Journal of Occupational Therapy, Vol. 65/3 (mai-juin 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/3 (mai-juin 2011) . - p. 306-313 Titre : Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure Type de document : texte imprimé Auteurs : Erin R. Foster ; Kathleen B. CUNNANE ; Dorothy F. EDWARDS ; et al. Année de publication : 2011 Article en page(s) : p. 306-313 Langues : Anglais (eng) Mots-clés : Développement intellectuel  Etat dépressif  Insuffisance cardiaque Résumé : OBJECTIVE. We investigated participation levels and relationships among cognition, depression, and participation for people with severe congestive heart failure (CHF). METHOD. People with severe CHF (New York Heart Association Class III or IV) awaiting heart transplantation (N 5 27) completed standardized tests of cognition and self-report measures of executive dysfunction, depressive symptoms, and participation. RESULTS. Possible depression (64%) and cognitive impairment (15%–59%) were prevalent. Participants reported significant reductions in participation across all activity domains since CHF diagnosis (ps < .001). Worse executive dysfunction and depressive symptoms were associated with reduced participation and together accounted for 35%–46% of the variance in participation (p s < .01). CONCLUSION. Participation restrictions associated with CHF are not limited to physically demanding activities and are significantly associated with executive dysfunction and depression. Cardiac rehabilitation should address cognitive and psychological functioning in the context of all life situations instead of focusing solely on physical function and disability. Permalink : ./index.php?lvl=notice_display&id=14101 [article] Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure [texte imprimé] / Erin R. Foster ; Kathleen B. CUNNANE ; Dorothy F. EDWARDS ; et al. . - 2011 . - p. 306-313. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/3 (mai-juin 2011) . - p. 306-313 Mots-clés : Développement intellectuel  Etat dépressif  Insuffisance cardiaque Résumé : OBJECTIVE. We investigated participation levels and relationships among cognition, depression, and participation for people with severe congestive heart failure (CHF). METHOD. People with severe CHF (New York Heart Association Class III or IV) awaiting heart transplantation (N 5 27) completed standardized tests of cognition and self-report measures of executive dysfunction, depressive symptoms, and participation. RESULTS. Possible depression (64%) and cognitive impairment (15%–59%) were prevalent. Participants reported significant reductions in participation across all activity domains since CHF diagnosis (ps < .001). Worse executive dysfunction and depressive symptoms were associated with reduced participation and together accounted for 35%–46% of the variance in participation (p s < .01). CONCLUSION. Participation restrictions associated with CHF are not limited to physically demanding activities and are significantly associated with executive dysfunction and depression. Cardiac rehabilitation should address cognitive and psychological functioning in the context of all life situations instead of focusing solely on physical function and disability. Permalink : ./index.php?lvl=notice_display&id=14101

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Instrumental activities of daily living performance among people with Parkinson's disease without dementia / Erin R. Foster in American Journal of Occupational Therapy, Vol. 68/3 (mai-juin 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/3 (mai-juin 2014) . - 353-362 Titre : Instrumental activities of daily living performance among people with Parkinson's disease without dementia Type de document : texte imprimé Auteurs : Erin R. Foster Année de publication : 2014 Article en page(s) : 353-362 Langues : Anglais (eng) Mots-clés : Développement intellectuel  Maladie Parkinson  Activités vie quotidienne Résumé : OBJECTIVE: To investigate the performance of cognitively demanding instrumental activities of daily living (IADLs) among people with Parkinson's disease (PD) without dementia. METHOD: Seventy-seven participants with PD and 57 participants without PD underwent standardized, performance-based IADL evaluation using the Performance Assessment of Self-care Skills. Activity performance was rated for independence, adequacy, and safety. RESULTS: The PD group had lower independence and adequacy scores than the non-PD group for almost every activity. Medication management, shopping, and sharp utensil use were the activities most sensitive to group differences. In the PD group, older age, lower Mini-Mental State Examination scores, and decreased motor function were associated with poorer IADL performance. CONCLUSIONS: People with relatively early and mild PD demonstrated measurable deficits in the performance of cognitively demanding IADLs. This work highlights the importance of using objective assessments of IADL function to detect early functional changes in people with PD. Permalink : ./index.php?lvl=notice_display&id=33758 [article] Instrumental activities of daily living performance among people with Parkinson's disease without dementia [texte imprimé] / Erin R. Foster . - 2014 . - 353-362. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/3 (mai-juin 2014) . - 353-362 Mots-clés : Développement intellectuel  Maladie Parkinson  Activités vie quotidienne Résumé : OBJECTIVE: To investigate the performance of cognitively demanding instrumental activities of daily living (IADLs) among people with Parkinson's disease (PD) without dementia. METHOD: Seventy-seven participants with PD and 57 participants without PD underwent standardized, performance-based IADL evaluation using the Performance Assessment of Self-care Skills. Activity performance was rated for independence, adequacy, and safety. RESULTS: The PD group had lower independence and adequacy scores than the non-PD group for almost every activity. Medication management, shopping, and sharp utensil use were the activities most sensitive to group differences. In the PD group, older age, lower Mini-Mental State Examination scores, and decreased motor function were associated with poorer IADL performance. CONCLUSIONS: People with relatively early and mild PD demonstrated measurable deficits in the performance of cognitively demanding IADLs. This work highlights the importance of using objective assessments of IADL function to detect early functional changes in people with PD. Permalink : ./index.php?lvl=notice_display&id=33758

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Systematic review of the effectiveness of occupational therapy-related interventions for people with Parkinson's disease. / Erin R. Foster in American Journal of Occupational Therapy, Vol. 68/1 (janvier-février 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.39-49 Titre : Systematic review of the effectiveness of occupational therapy-related interventions for people with Parkinson's disease. Type de document : texte imprimé Auteurs : Erin R. Foster ; Mayuri BEDEKAR ; Linda TICKLE-DEGNEN Année de publication : 2014 Article en page(s) : p.39-49 Langues : Anglais (eng) Mots-clés : Thérapie cognitive  Environnement  Ergothérapie  Maladie Parkinson Résumé : We describe the results of a systematic review of the literature on occupational therapy–related interventions for people with Parkinson’s disease (PD). Three broad categories of intervention emerged: (1) exercise or physical activity; (2) environmental cues, stimuli, and objects; and (3) self-management and cognitive–behavioral strategies. Moderate to strong evidence exists for task-specific benefits of targeted physical activity training on motor performance, postural stability, and balance. Low to moderate evidence indicates that more complex, multimodal activity training supports improvement in functional movement activities. The evidence is moderate that the use of external supports during functional mobility or other movement activities has positive effects on motor control. In addition, moderate evidence is available that individualized interventions focused on promoting participant wellness initiatives and personal control by means of cognitive–behavioral strategies can improve targeted areas of quality of life. The implications for practice, education, and research are discussed. Permalink : ./index.php?lvl=notice_display&id=19450 [article] Systematic review of the effectiveness of occupational therapy-related interventions for people with Parkinson's disease. [texte imprimé] / Erin R. Foster ; Mayuri BEDEKAR ; Linda TICKLE-DEGNEN . - 2014 . - p.39-49. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.39-49 Mots-clés : Thérapie cognitive  Environnement  Ergothérapie  Maladie Parkinson Résumé : We describe the results of a systematic review of the literature on occupational therapy–related interventions for people with Parkinson’s disease (PD). Three broad categories of intervention emerged: (1) exercise or physical activity; (2) environmental cues, stimuli, and objects; and (3) self-management and cognitive–behavioral strategies. Moderate to strong evidence exists for task-specific benefits of targeted physical activity training on motor performance, postural stability, and balance. Low to moderate evidence indicates that more complex, multimodal activity training supports improvement in functional movement activities. The evidence is moderate that the use of external supports during functional mobility or other movement activities has positive effects on motor control. In addition, moderate evidence is available that individualized interventions focused on promoting participant wellness initiatives and personal control by means of cognitive–behavioral strategies can improve targeted areas of quality of life. The implications for practice, education, and research are discussed. Permalink : ./index.php?lvl=notice_display&id=19450

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Themes from the special issue on neurodegenerative diseases / Erin R. Foster in American Journal of Occupational Therapy, Vol. 68/1 (janvier-février 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.6-8 Titre : Themes from the special issue on neurodegenerative diseases : what have we learned, and where can we go from here? Type de document : texte imprimé Auteurs : Erin R. Foster Année de publication : 2014 Article en page(s) : p.6-8 Langues : Anglais (eng) Mots-clés : Maladie dégénérative Permalink : ./index.php?lvl=notice_display&id=19453 [article] Themes from the special issue on neurodegenerative diseases : what have we learned, and where can we go from here? [texte imprimé] / Erin R. Foster . - 2014 . - p.6-8. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.6-8 Mots-clés : Maladie dégénérative Permalink : ./index.php?lvl=notice_display&id=19453

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Understanding activity participation among individuals with Wolfram syndrome / Emily Bumpus in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357 Titre : Understanding activity participation among individuals with Wolfram syndrome Type de document : texte imprimé Auteurs : Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster Année de publication : 2018 Article en page(s) : p. 348-357 Langues : Anglais (eng) Mots-clés : Wolfram syndrome  participation  occupational therapy  neurodegeneration  function Résumé : Introduction Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking. Method Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data. Results Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation. Conclusion Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research. Permalink : ./index.php?lvl=notice_display&id=80154 [article] Understanding activity participation among individuals with Wolfram syndrome [texte imprimé] / Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster . - 2018 . - p. 348-357. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357 Mots-clés : Wolfram syndrome  participation  occupational therapy  neurodegeneration  function Résumé : Introduction Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking. Method Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data. Results Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation. Conclusion Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research. Permalink : ./index.php?lvl=notice_display&id=80154

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